Will women receive same-type repeat surgeries for treating benign adnexal tumors?-An 11-year nationwide population-based descriptive study in Taiwan

Objective: Laparoscopy has gained worldwide popularity during the past 2 decades; however, it remains unclear whether repeat surgeries are affected by primary surgeries. Our objectives were to explore whether laparoscopy is the preferred choice for repeat surgeries in managing recurrent adnexal tumors and whether primary surgeries affect the choices. Materials and methods: Women who were covered by the National Health Insurance, Taiwan, and received repeat surgeries for recurrent adnexal tumors in Taiwan during 1999-2009 were identified. Results: A total of 135,793 women who received either laparotomy or laparoscopy for benign adnexal tumors were identified. Of them, 6609 women were admitted for repeat surgeries for recurrent adnexal tumors. The rates of using same-type operations (i.e., laparotomy-to-laparotomy or laparoscopy-to-laparoscopy) for repeat surgeries were 50.25% and 79.01% for laparotomy and laparoscopy, respectively (p